MEDICARE: PHARMACY SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	044866	MO

General Provider Information

NPI Number	:	1518287648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY SERVICES INC.

Provider Business Mailing Address
First Line	:	212 MILLWELL DR.
Second Line	:	SUITE A
City	:	ST. LOUIS
State	:	MO
Zip	:	63043
Country	:	US
Telephone Number	:	314-956-6767
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 MILLWELL DR.
Second Line	:	SUITE A
City	:	ST. LOUIS
State	:	MO
Zip	:	63043
Country	:	US
Telephone Number	:	314-956-6767
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RODNEY G WILSON
Credential	:	R.PH.
Telephone Number	:	314-956-6767

Provider Enumeration Date	:	06/11/2010
Last Update Date	:	06/11/2010

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